电针治疗不稳定膀胱的临床观察

目的对电针治疗不稳定膀胱进行临床疗效评价.方法将患者随机分为电针组和对照组,根据治疗前后临床症状积分和生活质量评分的改善情况进行疗效评价.结果观察指标两组治疗后均较治疗前显著降低(P<0.05),两组间比较临床症状积分无显著性差异(P>0.05);生活质量评分电针组较手法组下降明显(P<0.05).结论两种治疗方法对不稳定膀胱均有改善,其中电针组生活质量满意度要优于手法组,临床症状积分有低于手法组的趋势.     

电针董氏奇穴联合生物反馈治疗功能性肛门直肠痛的疗效评价

ObjectiveTo investigate the clinical effect of electroacupuncture combined with biofeedback on functional anorectal pain.MethodsSixty patients diagnosed functional anorectal pain were divided into three groups by random number table, namely electroacupuncture group, biofeedback group, and combination group, with 20 patients in each. In the electroacupuncture group, the electroacupuncture at Dong's points Sānqí (三其穴), including Qímén (其门), Qíjiǎo (其角), and Qízhèng (其正), and Línggǔ (灵骨), Dàbái (大白), Chángmén (肠门) of both sides was given; in the Biofeedback group, the biofeedback therapy was adopted; in the combination group, the electroacupuncture and biofeedback therapy were used. All patients were treated once a day, 30 min each time, 10 consecutive treatments as one treatment course, and the therapeutic effect was evaluated after 3 treatment courses. The observation indexes after the intervention: Visual analogue Scale (VAS) score, SF-36 Quality of Life Scale score, Self-rating Anxiety Scale (SAS) score, Self-rating Depression Scale (SDS) score, Anorectal manometry, Clinical efficacy, and patients’ adverse reactions.ResultsAfter treatment, the pain of patients in the three groups was alleviated than that before treatment, VAS score, SAS score, SDS score, and anorectal pressure were decreased (P<0.05), and SF-36 Quality of Life Scale score was increased (P<0.05). After treatment, in the combination group, the VAS scores, SAS scores, SDS scores, and Anal-rectal pressure scores were lower than those in the other two groups (P<0.05), and SF-36 Quality of Life Scale scores were higher than those in the other two groups (P<0.05), the total effective rate was 80.0% (16/20), which was significantly higher than that of the electroacupuncture group (55.0%, 11/20) and the biofeedback group (40.0%, 8/20) (both P<0.05) . No adverse reactions occurred in all three groups.ConclusionElectroacupuncture at Dong's points combined with biofeedback therapy has a significant effect on functional anorectal pain. The combined application of electroacupuncture and biofeedback therapy has a synergic action, and the analgesic effect is better than that of only using electroacupuncture or biofeedback therapy.     

Observations on the Short-term and Long Term Effects of Point Houxi（SI 3） Electroacupuncture on Acute Lumbar Sprain

目的：观察电针后溪穴治疗急性腰扭伤的临床疗效。方法：采用随机数字表将300例急性腰扭伤患者随机分组，其中电针组选用后溪穴，药物组用莫比可治疗，结果：近期疗效比较，电针组有效率为97．3％，药物组有效率为89．3％，电针组近期疗效评分的平均秩和较药物组低（P〈0．01），有显著性差异；远期疗效比较，电针组有效率为99．3‰药物组有效率为93．2％，电针组远期疗效评分的平均秩和较药物组低（P〈0．01），二者之间有显著性差异。结论：电针后溪穴与口服莫比可治疗急性腰扭伤，均有显著疗效，但电针组的近期疗效和远期疗效均优于药物组。     

Clinical observation of electroacupuncture in treating depression

Purpose To observe the curative effect of electroacupuncture in treating depression.Method Two hundred and ten subjects were randomly divided into electroacupuncture group and medication group.Results and conclusion The results were evaluated by an international depression scale in both groups. After one-course treatment, the average score markedly decreased in both groups, and a t-test showed that there was a significant difference in curative effect between before and after treatment in each group (P<0.001); but there was no such a difference between the two groups (P<0.05). Electroacupuncture can be compared favorably with amitriptyline, an antidepressant. However, taking amitriptyline will produce some side effects. Therefore electroacupuncture is especially suitable for those who cannot take medicine. Author: ZHANG Hong (1967-), male, attending physician Translator: XIAO Yuan-chun     

Electroacupuncture for functional dyspepsia and the influence on serum Ghrelin,CGRP and GLP-1 levels

Objective

To observe the clinical efficacy of electroacupuncture for functional dyspepsia (FD), and explore the corresponding mechanism.

Clinical observations on treatment of hip osteoarthritis by electroacupuncture

120例髋关节骨关节炎患者随机分成两组,每组各60例,分别采用电针治疗和口服扶他林缓释片治疗.观察两组患者治疗前后的疼痛、活动度、肿胀程度,随访2年以上.以JOA髋关节骨关节炎的疗效评定标准进行疗效评定.治疗后电针治疗组患者的平均总分上升了18分,而口服扶他林缓释片组患者上升了12.3分(P<0.05).电针治疗髋关节骨关节炎的疗效明显优于口服扶他林缓释片.     

中西医结合法治疗肩周炎

[目的]比较两种方法治疗重度肩周炎的疗效.[方法]将200例重度肩周炎随机分为2组,每组100例.单纯治疗组:神经阻滞加痛点注射.治疗加松解组:神经阻滞加痛点注射加肩关节阻滞及肌间沟阻滞下手法松解粘连.疗程治疗1次/周,3-4次为1个疗程,比较两组疗效的差别.[结果]两组治疗结果比较差异显著(P＜0.05).[结论]治疗加松解组在疼痛评分和功能障碍评分都明显优于单纯治疗组.     

养正消积胶囊治疗癌症恶病质

目的:观察养正消积胶囊治疗癌症恶病质的近期疗效及安全性,为临床治疗癌症恶病质提供相应依据。方法:将70例癌症恶病质患者随机分为观察组和对照组,每组各35例;两组患者均给予饮食指导及一般营养支持治疗,观察组加用养正消积胶囊,4粒/次,口服3次/d;对照组加用醋酸甲地孕酮分散片,160 mg/次,口服1次/d;观察周期1个月;观察治疗前后两组患者中医症状、进食量和上臂中部周径的变化,对生活质量(QOL)进行评分,并检测血清白蛋白、外周血红蛋白及T淋巴细胞亚群水平和不良反应。结果:治疗后观察组中医症状疗效及进食量疗效均优于对照组(P0.05);治疗后,观察组和对照组患者上臂中部周径分别为(24.58±2.21),(24.01±2.29)cm,较治疗前均增加(P0.05),但两组比较无明显差异;治疗后观察组和对照组患者QOL评分分别为(36.52±3.39),(34.80±3.46)分,较治疗前亦均有增加(P0.05,P0.01),但观察组QOL评分较对照组增加更显著(P0.05);两组恶病质患者外周血红蛋白,血清白蛋白及CD3+,CD4+,CD8+,CD4+/CD8+细胞水平较治疗前均有改善(P0.05,P0.01),且观察组上述指标的改善优于对照组(P0.05);观察组无不良反应发生。结论:养正消积胶囊能够显著改善癌症恶病质患者的中医症状,增进食量,提高生活质量,还可显著改善患者的血清白蛋白、外周血红蛋白及T淋巴细胞亚群水平,与甲地孕酮分散片比较,具有更好的临床疗效,且安全性好,值得临床进一步深入研究与应用。     

回旋正骨手法联合温阳通络胶囊治疗阳虚寒凝型膝骨关节炎的临床观察

目的 观察使用回旋正骨手法联合温阳通络胶囊治疗阳虚寒凝型膝骨关节炎（KOA）的短期疗效。方法 选取2018年10月—2020年2月于广东省第二中医院骨科门诊部收治的KOA患者71例,采用随机数字表法随机分为试验组（35例）和对照组（36例）,试验组使用回旋正骨手法（每周1次,连续治疗4周）联合温阳通络胶囊（每日3次,每次2粒,服用4周）治疗,对照组口服塞来昔布胶囊（2次/日,100 mg/次）治疗。比较两组患者治疗前后的视觉模拟评分法（VAS）评分、西安大略和麦克马斯特大学骨性关节炎指数（WOMAC）评分、焦虑自评量表（SAS）和抑郁自评量表（SDS）评分,同时对两组患者进行疗效评价。结果 试验组痊愈率为14.29%,总有效率为91.43%,对照组痊愈率为13.89%,总有效率为86.11%。两组痊愈率和总有效率比较,差异无统计学意义（P > 0.05）。治疗后两组疗效指标均较治疗前明显改善,VAS、WOMAC分数均下降,差异均有统计学意义（P < 0.05）,且两组之间VAS评分、WOMAC疼痛评分、僵硬评分比较,差异无统计学意义（P > 0.05）,试验组WOMAC的生活能力部分评分较对照组下降更明显（P < 0.05）。治疗后两组SAS、SDS评分均较治疗前明显改善（P < 0.05）,试验组SAS、SDS评分均较对照组改善更为明显（P < 0.05）。结论 回旋正骨手法配合口服温阳通络胶囊可有效减轻阳虚寒凝型KOA患者疼痛、改善关节功能,且对缓解患者抑郁、焦虑情绪有积极作用。     

针刺足运感区结合局部电针围刺治疗中风后尿失禁的临床观察

[目的]观察针刺足运感区结合局部电针围刺与常规针刺、常规针刺联合足运感区治疗中风后尿失禁的临床疗效差异。[方法]将90例患者随机分为治疗组、对照1组和对照2组,每组30例,治疗组予针刺足运感区结合膀胱体表相应投影区域电针围刺;对照1组参照全国高等中医药院校"十三五"规划教材《针灸治疗学》中有关"尿失禁"的治疗选穴;对照2组在对照1组的基础上联合足运感区针刺,每日上午行神经内科常规治疗,每日下午行中风后尿失禁的临床治疗,每次30 min,每周连续治疗6次,6次为1个疗程,疗程间休息1 d,共2个疗程。观察3组治疗前后尿失禁程度、尿失禁临床症状评分及日常生活活动能力量表(ADL)评分,并比较3组患者的临床疗效。[结果] 3组患者治疗后尿失禁程度、尿失禁临床症状评分及ADL评分均较前改善(均P0.05),治疗组对尿失禁程度及尿失禁临床症状评分的改善较其他两组更明显(P0.05),且治疗组和对照2组的ADL评分明显优于对照1组(P0.05)。治疗组总有效率为93.3%(30/28),优于对照1组76.7%(30/23)和对照2组83.3%(30/25,P0.05)。[结论]针刺足运感区结合局部电针围刺治疗中风后尿失禁疗效显著。     

中西医结合治疗良性前列腺增生60例临床观察

[目的]观察益肾通淋汤治疗前列腺增生的临床疗效。[方法]将120例良性前列腺增生患者随机分为治疗组与对照组,治疗组(60例)口服益肾通淋汤和普适泰,对照组(60例)只服普适泰。观察治疗前后患者的排尿症状评分、生活质量指数、前列腺体积、最大尿流率和膀胱残余尿量的变化。[结果]两组总有效率以及在缩小前列腺体积方面,经统计学处理无显著性差异(P0.05)。但治疗组在减轻患者的排尿症状评分、改善生活质量指数、提高最大尿流率和减少膀胱残余尿量等方面,疗效明显优于对照组(P0.05)。[结论]中西医结合治疗良性前列腺增生效果显著。     

Electroacupuncture of different wave patterns for acute attack of lumbar disc herniation 不同波型电针治疗腰椎间盘突出症急性期的临床疗效观察

ObjectiveTo observe the differences in clinical therapeutic effect on acute attack of lumbar disc herniation (LDH) treated with electroacupuncture (EA) of different wave patterns so as to optimize EA wave pattern in the treatment of acute attack of LDH.MethodsA total of 108 patients were randomized into three groups, i.e., a disperse-dense wave, an intermittent wave and a continuous wave group, 36 cases in each one. In all of three groups, Shàngliáo (上髎BL31), Cìliáo (次髎BL32), Zhōngliáo (中髎BL33) and Xiàliáo (下髎BL34) were selected bilaterally as the main acupoints, which is generally termed as Bāliáo (八髎 BL31 to BL34, bilateral). In each group, the corresponding wave pattern was used in EA. The treatment lasted 20 min each time, once daily, totally for 10 days. Before and after treatment, the score of visual analogue scale (VAS) and the score of the lower back pain of Japanese orthopedic association (JOA) were observed in the patients of three groups and the overall therapeutic effect was evaluated.ResultsAfter treatment, the VAS score was decreased and JOA score was increased in the patients of 3 groups, indicating statistical significance (all P < 0.05). In comparison of VAS score before and after treatment among three groups, the score in the disperse-dense wave group was higher than the intermittent wave group and the continuous wave group, indicating statistical differences (both P < 0.05). In comparison of JOA score before and after treatment among three groups, the score in the continuous wave group was higher than the intermittent wave group and the disperse-dense wave group, indicating statistical differences (both P < 0.05). The total effective rate was 94.12% in the disperse-dense wave group, 94.29% in the intermittent wave group and 97.14% in continuous wave group, without significant difference among groups (P > 0.05).ConclusionElectroacupuncture of 3 different wave patterns all effectively relieves clinical symptoms of acute attack of lumbar disc herniation. Regarding pain release, electroacupuncture with disperse-dense wave is better than intermittent wave and continuous wave. Regarding the improvement of lumbar function, the effect of electroacupuncture with continuous wave is better than disperse-dense wave and intermittent wave.     

参附汤对脾肾阳虚型低T_3综合征危重症患者干预的临床研究

目的研究参附汤对脾肾阳虚型伴发低T_3综合征的危重症患者的临床疗效。方法采用随机数字表法,将110例中医辨证分型为脾肾阳虚证伴发低T_3综合征的危重症患者随机分为2组。对照组(n=55)采用常规西医治疗方案,治疗组(n=55)在常规西医治疗的基础上加用参附汤,两组患者分别治疗7 d。测定患者血清三碘甲状腺原氨酸(T_3)、甲状腺素(T_4)、促甲状腺激素(TSH)水平,进行急性生理学及慢性健康状况评分Ⅱ(APACHE Ⅱ),统计患者住院时间,记录转归情况,进行中医证候疗效评价。结果两组患者在治疗后APACHE Ⅱ、中医证候疗效积分均较治疗前降低,血清T_3水平较治疗前升高(P0.001);与对照组比较,治疗组的APACHE Ⅱ、中医证候疗效积分降低更显著(P0.05、0.001),血清T_3水平升高更显著(P0.05);与对照组比较,治疗组患者住院时间显著缩短(P0.05),预后得到改善,中医临床疗效评价亦优于对照组(P0.05)。结论参附汤可提高脾肾阳虚型伴发低T_3综合征的危重症患者的血清T_3水平,提高临床疗效,缩短住院时间,改善中医证候及临床预后。     

Clinical observation on treatment of 60 cases of osteoarthritis of knee joint by electroacupuncture

Purpose To observe therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint.Method All the 120 cases were randomly divided into electroacupuncture and control groups, 60 cases in each group, and they were given electroacupuncture and Ritalin slowreleased tablet respectively, and pain, mobility and swelling degree of knee joint were observed before and after treatments.Results In treatment group, the average score increased by 18, while in control group, it increased by 12.33 (P<0.05) after treatment.Conclusion Therapeutic effect of electroacupuncture Neixiyan (Ex-LE 4) and Dubi (ST 35) in treating osteoarthritis of knee joint was better than that of administration of Ritalin slow-released tablet. Author: DAI Qi-ping (1966-), female, attending physician Translator: Wu Xue-fei     

Therapeutic Observation of Point-towards-point Electroacupuncture for Cervical Spondylotic Radiculopathy简

Objective： To compare the therapeutic efficacies of point-towards-point electroacupuncture（EA）, EA with Jiaji points（EX-B 2）, and Jing Fu Kang in treating cervical spondylotic radiculopathy（CSR）, and to explore the optimal treatment protocol. Methods： Totally 160 patients with CSR were randomized into three groups： a point-towards-point group（n=60） treated with EA with point-towards-point method; a Jiaji group（n=60） treated with EA at cervical Jiaji（EX-B 2） points; a medicine group（n=40） treated with oral administration of Jing Fu Kang alone. The clinical efficacies were compared afterwards. Results： After treatment, the recovery rate and total effective rate of the point-towards-point group were significantly better than that of the Jiaji group and medicine group（both P〈0.01）. After 1-week treatment, the symptom and function score of the point-towards-point group was significantly better than that of the Jiaji group and medicine group（both P〈0.01）; the point-towards-point group and Jiaji group both achieved significant improvements in the symptom and function score（P〈0.01, P〈0.05）. After 2-week treatment, the three groups all achieved marked improvements in the symptom and function score（P〈0.01）. At the end of treatment, in comparing the symptom and function score, the point-towards-point group was significantly different from the medicine group（P〈0.01） and Jiaji group（P〈0.05）; the difference between the Jiaji group and medicine group was also statistically significant（P〈0.05）. Conclusion： Point-towards-point EA can rapidly improve the symptoms and function of CSR patients, and it＇s superior to EA at Jiaji（EX-B 2） and oral administration of Jing Fu Kang in comparing the clinical efficacy.     

Treatment of 48 cases of prolapse of lumbar intervertebral disc by acupuncture plus electroacupuncture

为观察电针治疗椎间盘突出症疗程与疗效的关系及对改善椎间盘突出不同临床症状间的差别,根据症状表现仅有腰痛、腿痛及腰痛兼腿痛分为不同治疗组,每组治疗3个疗程.结果疗程与疗效有显著差别(P＜0.01);症状与疗效有差别(P＜0.05).电针治疗腰椎间盘突出临床症状改善,腰痛最明显,腿痛最差,且第2疗程疗效显著.     

血尿安胶囊联合左氧氟沙星治疗慢性细菌性前列腺炎的疗效观察

目的 探讨血尿安胶囊联合左氧氟沙星治疗慢性细菌性前列腺炎的临床疗效。方法 126例慢性细菌性前列腺炎患者随机分为对照组（60例）和治疗组（66例）。对照组为左氧氟沙星组,给予盐酸左氧氟沙星片（0.6 g/d）治疗;治疗组为联合用药组,给予血尿安胶囊（4.2 g/d）联合盐酸左氧氟沙星片（0.6 g/d）治疗。两组均连续治疗8周。观察两组的临床疗效,比较NIH-CPSI评分、前列腺液细菌培养转阴率、血清学指标及不良反应。结果 治疗后,对照组和治疗组的总有效率分别是66.67%、89.39%,两组比较差异具有统计学意义（P<0.05）。治疗后,对照组和治疗组慢性前列腺炎症状指数（NIH-CPSI）的疼痛症状评分（5.45±1.12）、排尿症状评分（3.31±0.70）、生活质量评分（3.08±0.55）均低于本组治疗前（P<0.05）,且治疗组均低于对照组,差异具有统计学意义（P<0.05）。治疗后,对照组和治疗组的前列腺液细菌培养转阴率分别是71.67%、92.42%,两组比较差异具有统计学意义（P<0.05）。治疗后,两组血清白细胞介素-6（IL-6）、白细胞介素-8（IL-8）、超敏C反应蛋白（hs-CRP）水平均较治疗前显著降低（P<0.05）,而治疗组炎症因子水平均低于对照组（P<0.05）。结论 血尿安胶囊联合左氧氟沙星治疗慢性细菌性前列腺炎疗效确切,可以有效缓解患者的临床症状、提高前列腺液细菌培养转阴率,并降低患者的血清炎症因子水平,具有一定的临床推广应用价值。     

Clinical study on treatment of post-apoplectic limb spasm by puncturing acupoints of Governor Vessel

目的:探讨针刺督脉为主的方法治疗中风后肢体痉挛的临床意义.方法:针刺督脉为主配合关节局部取穴治疗中风后肢体痉挛患者29例,与传统取穴方法治疗的29例作疗效对比.结果:治疗前两组患者肢体Ashoworth张力评分及Fugl-Meyer运动功能评分比较差异无显著性(P＞0.05);治疗后两组张力评分评定差异有显著性(P＜0.05);运动功能评分与治疗前比较均明显升高(P＜0.01),但治疗组与对照组比较,肢体运动功能改善更显著(P＜0.05).结论:针刺督脉为主治疗中风后肢体痉挛较传统的针刺方法可明显提高疗效.     

华蟾素联合TACE治疗原发性肝癌临床观察

[目的]观察华蟾素联合经动脉灌注化疗栓塞术(TACE)治疗原发性肝癌的临床疗效及安全性。[方法]以2011年1月—2013年2月于本院住院治疗的患者53例为研究对象,随机分为对照组和治疗组。其中对照组27例,单纯给予TACE治疗;治疗组26例,在TACE治疗的基础上,联用华蟾素注射液治疗。比较两组患者(AFP)、肿瘤客观大小、生活质量(KPS评分)、中医证候积分及术后不良反应。[结果]对照组剔除2例,治疗组剔除1例。与对照组相比,治疗组AFP下降较显著,差异有统计学意义(P0.05)。分析肿瘤客观大小得出治疗组与对照组疾病控制率分别为88.00%(22/25)和79.17%(19/24),差异有统计学意义(P0.05)。在提高患者生活质量、改善中医证候方面,治疗组明显优于对照组,差异有统计学意义(P0.05)。观察肝功能损伤、骨髓抑制、消化道不良反应的发生,治疗组明显低于对照组(P0.05)。[结论]华蟾素与TACE联用治疗原发性肝癌,显著降低AFP水平,提高治疗肿瘤的疾病控制率,缓解临床症状,提高患者生活水平,并减少不良反应的发生,具有减毒增效的作用。     

Effect of Ruyanning Formula on Quality of Life and Immune Function of Postmenopausal Breast Cancer Patients Undergoing Endocrine Therapy

目的 观察乳岩宁方对绝经后乳腺癌内分泌治疗患者生活质量及免疫功能的影响。方法 采用随机数字表法将134例正在接受内分泌治疗且具有类更年期综合征的绝经后乳腺癌；患者随机分为对照组和观察组各67例。对照组采用来曲唑治疗，每日1次口服，观察组在对照组基础上加用乳岩宁方早晚各1次口服，两组疗程为2个月，分析两组改良Kupperman症状积分、生活质量、中医症状积分、中医证候疗效、血脂变化、免疫功能状态及不良反应。结果 实际完成研究121例，对照组60例、观察组61例。治疗后观察组改良Kupperman症状积分较之前显著下降（P < 0.05），改良Kupperman症状积分观察组明显低于对照组（P < 0.05）；治疗后观察组在生理状况、社会/家庭状况、情感状况、功能状况、附加关注和总分等生活质量项目与同组治疗前及对照组治疗后比较均有改善（P < 0.05）；中医症状积分比较，治疗后对照组与治疗前比较，潮热盗汗、五心烦热较前加重（P < 0.05）；治疗后观察组在潮热盗汗、情绪抑郁、烦躁易怒、五心烦热、乏力倦怠、头晕耳鸣、总分等项目中较治疗前及对照组治疗后比较均有改善（P < 0.05）；两组治疗后总有效率观察组明显高于对照组（P < 0.01）；观察组治疗后免疫指标CD3、CD4、CD4/CD8较同组治疗前及对照组治疗后水平有改善（P < 0.05）；治疗后甘油三酯水平观察组明显低于对照组（P < 0.05）；两组患者经过内分泌治疗前后对照无明显WBC、Hb、PLT、ALT、AST、Cr、BUN差异（P > 0.05）。结论 乳岩宁方对改善绝经后乳腺癌患者内分泌治疗生活质量及免疫功能有较好效果。